Insurance

You know when the claim closed. Not where it waited.

Cycle time, leakage and combined ratio are measured everywhere in an insurer. The path a claim actually took — how many hands, how many times it went back, and how long it sat between them — is written down in fragments across claims, policy, document and payment systems, and reassembled by nobody.

Read-onlyno changes to claims or policy systems
~10 business daysto a first execution view
Claims · policy · paymentsplus document, vendor and billing systems
12 monthsof history is a common starting point

1Why

Claims data is complete. The claim journey is not.

Insurers hold more structured data per case than almost any other industry. What they do not hold is a single record of the case moving — because no system owns the whole of it, and the gaps between systems belong to no one.

Every system is honest about its own leg

Intake records the notification. The claims platform records the assessment. Document management records what arrived and when. Payments record the settlement. Each is accurate. None describes the journey.

PegaServiceNowOpenTextSalesforceSAPAS400

Waiting has no owner, so it has no measure

A claim sitting between the adjuster and the medical reviewer is not in anyone's queue report. It is between two of them. That time is real, it is often the majority of the cycle, and it is invisible in every dashboard the business already has.

A reopened claim looks like new work

Reassessment, additional information requests, reopened files and reissued payments all register as activity in the system that recorded them. Only end to end does the pattern become visible as the same claim being handled two or three times.

The claim was worked for days. It was open for weeks.

Elapsed time on one claim

sent back for more informationFNOLAssignAssessAdjudicateSettleSomeone was working on itIt was sitting in a queue

Cycle time is reported as one number. It is almost always made of two very different things, and only one of them responds to hiring more adjusters.

Illustrative shape of a common finding, not client data. The split between working time and waiting time is measured from your own records.

2Where

Where it shows up in an insurer

Claims is the obvious place to start and usually the most valuable. It is not the only process where execution and design have drifted apart.

Claims operations

Where cycle time, leakage and customer experience are decided.

  • First notice of loss and claim intake
  • Coverage verification and triage
  • Assessment and adjuster assignment
  • Medical, legal and vendor review
  • Adjudication and approval
  • Settlement and payment
  • Recovery and subrogation
  • Reopened claims and disputes

Enterprise processes across the business

Where cost, compliance standing and growth are decided.

  • Customer and broker onboarding
  • Underwriting and policy issue
  • Premium billing and collections
  • Fraud detection and investigation
  • Procure to pay
  • Risk and regulatory reporting
  • Customer service and complaints
  • IT operations and ontology mapping

3How

How RE-ViVE gets there

No new instrumentation, no data warehouse programme and no curation layer to build first. Four steps, from access to a live view.

Point at data you already keep

Status histories, workflow logs and audit trails in the systems you already run. If a record carries a case identifier, an activity and a timestamp, it is enough.

Reconstruct the case, not the table

Records from separate systems are linked back into one case — a single claim followed across everything that touched it, in the order it happened.

Compare designed against actual

The process as it was intended, set against every path it really ran. Variants, rework loops, waiting time and team differences are counted rather than estimated.

Keep watching

The view refreshes as the data does, so drift shows up as it happens instead of surfacing in the next review cycle.

4What

What becomes visible

Not a score or a maturity rating. The actual behaviour of your claims process, in units your claims leadership and actuarial teams already argue about.

Waiting versus working

How much of the cycle was someone doing something, and how much was the claim sitting between two teams or two systems.

Rework and reopened claims

Files that went round twice — reassessed, reopened, corrected or reissued — separated from files that went round once.

Handoff friction

Where the claim crossed a boundary between adjuster, reviewer, vendor and payments, and what each crossing cost in elapsed days.

Variant sprawl

How many distinct paths one claim type actually runs, and which of those paths carry the delay and the cost.

Leakage points

The steps where discretion, manual override or missing information consistently moves the settled amount away from the assessed one.

Commitment and regulatory risk

Which open claims are drifting towards a service or regulatory deadline while there is still time to intervene.

Before you commit · what we need

Three fields decide whether your data can answer this

We will tell you in a short discovery session whether the records you already hold can reconstruct the process — before any commitment, and without a proof of concept. See how this reads in other sectors.

A case identifiera claim or policy number that appears in every system
An activitythe status, step or event name recorded against it
A timestampdate and time, with the time zone known
Twelve months of historya common starting point, not a hard requirement

Start with one claim type, not the whole book

Pick the line of business where cycle time costs you the most. We will tell you, before any commitment, whether the data you already hold can reconstruct it — and what you would see if it can.